Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Seattle Sports & Regenerative Medicine PLLC

Organization Family Medicine Physician · NPI 1871020933

Seattle Sports & Regenerative Medicine PLLC is a Family Medicine Physician in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2017.

Licensed in
WA
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 Dexter Ave N Ste 320
Seattle, WA 98109-4878
Phone: (206) 999-8556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD00022633 (WA)

Record details

NPI number1871020933
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Wagner — Owner · (206) 999-8556
NPI enumeratedMay 18, 2017
Last updated in NPPESOctober 7, 2021
Certification dateOctober 7, 2021
Mailing address1000 Dexter Ave N Ste 320, Seattle, WA 98109-4878

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